HomeMy WebLinkAbout40582-Z �o�4sUPf�t,fCQG Town of Southold 6/28/2017
0
P.O.Box 1179
co 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39033 Date: 6/28/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 485 Carrington Rd., Cutchogue
SCTM#: 473889 Sec/Block/Lot: 111.-11-17.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/4/2016 pursuant to which Building Permit No. 40582 dated 3/30/2016
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Zabala,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40582 11-09-2016
PLUMBERS CERTIFICATION DATED
uth ed Signature
p�gaFFn(,� TOWN OF SOUTHOLD
�y BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
y�ol � �apP
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 40582 Date: 3/30/2016
Permission is hereby granted to:
Zabala, William
90 Prospect Park W#3L
Brooklyn, NY 11215
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
485 Carrington Rd., Cutchogue
SCTM # 473889
Sec/Block/Lot# 111.-11-17.1
Pursuant to application dated 3/4/2016 and approved by the Building Inspector.
To expire on 9/29/2017.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Buil ing In ector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I% lead.
5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date. 3- 4-20 10
New Construction: Old or Pre-existing Building: (check one)
Location of Property: C0-CX-1 n �--,7--� , C v o a v
House No. VStre t Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block Lot 0
Subdivision Filed Map. Lot:
Permit No. (Ds R )- Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: ✓ (check one)
Fee Submitted: $
Applicant Signature
OF
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA Fax(631)765-9502
P.O.Box 1179 ® �@ roger.riche rt(ab-town.southold.ny.us
Southold,NY 11971-0959
®I Onu N,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Zabala
Address: 485 Carrington Road City: Cutchogue St: New York Zip: 11935
Building Permit#: 40582 Section: 111 Block: 11 Lot: 17.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Elec. Tec Inc. License No: 4814-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1 A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks 2
Disconnect Switches 2 Twist Lock 1 Exit Fixtures TVSS
Other Equipment- Inground Swimming Pool to Include; Bonding, Pool Cleaner, 4- GFCI Circiut
Breaker, 1- Gas Pool Heater, Pool Ozone Generator, Pool Lights
Notes:
Inspector Signature: Date: November 9, 2016
0-81-Cert Electrical Compliance Form xls
SO4qv �ryolo
�) TOWN OF SOUTHOLD BUILDING DEPT:
V 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
DATE 1 o INSPECTOR
sour
H �O
o m�
TOWN OF SOUTHOLD BUILDING-DEPT. ,
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ /FINA4L
GH PLEIG.
FOUNDATION 2ND [ LATI N
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRIC (ROUGH) [ ] ELECTRICAL (FINAL)
REMA KS: t b4& VJAI pff2 Qwljlm4
DATE INSPECTOR
SOF s0
o� o
• �o
COUM'1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] I ULATION
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL-)
REMARKS:
(E 4/ C 4q )
DATE CD 7' INSPECTOR
ti
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STATE ENERGY • , _
MJill
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. JCheck
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
TmC[E5'V[E
Examined 5130 ,20Single&Separate
D5
Storm-Water Assessment Form
VAR 4 2Q�v
0 v `Contact:
Approved � �u ,20 Mail to:
Disapproved a/c B1�1D'lQ�ra DEMMail
�
TOWN OF SO OLO � ���NJ tTs z
A. Phone: 6 31^ 5 cl +2
Expiration ,2017
Buildi g Inspe r
APPLICATION FOR BUILDING PERMIT
Date 3 -- �}- , 20 1 .6
- INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale.Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or
areas, and waterways.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
- f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County,New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
—�,e �2
(Signature of applicant or n me,if a corporation)
0125 -� .Ny
)(Mailing address of ap licant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Sc ZAbo,I Q Q-cs c\ K'-)cn ,P 11 Q S J 1 ►�c�
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
4-85- Cc.c I"N Cv4�oC .4--
House Number Street-J Hamlet
Block j
County Tax Map No. 1000 Section 1 1 1 ''„1' Lot l
_:!_" ,iii..,s_;Gc:.-;a.�l; • _ �?,,,...
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy �O O N
3. Nature of work(check which applicable):New Building Addition's Alteration
Repair Removal Demolition Other Work
r= s\ '" ..
�: (Description)
, L
Gm
4. Estimated Cost { �.� �. 1 ,e ,
dT-o;be paid on filing this application)
d
5. If dwelling, number of dwelling units <1lmb�er ofc�elling,ul ►its on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, sp® f'yaYatru? ,,Ct drVxle�nt of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO
14.Names of Owner of premises �r %e I le '& .A .�L. Address 4t3 5 C'.-)-rm,4-v,(Lc Phone No. '3477- 4-4 t-2385'
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO'��
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO C
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF_,5�
(`1 \ ck'-�eQ\ NCr- being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)abov6 named,
(S)He is the �n r
(Contractor,Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of �Uch 20�( _
Alacw
tart' Public TRACEY L. DWYER ignature o p
OTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2j2LO
cl FFr�,�r� ST01KI�/J[\ A-T)ER.
Scott A. Russell `� °V
SUPERVISORS ��
1\\44 A�(Gt)EMI)EN T
SOUTHOLD TOWN HALL-P.O.Box 1179 O t 1 S
�
�
53095 Main Road-SOUTH OLD,NEW YORK 11971 .l Town fSouthold
o
Of
A
V) RAPTER 236 - STORMV�IATER MANAGEMENT WORK SHEET
b� ( TO BE COMPLETED BY THE APPLICANT )
p DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
,01�Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
El 0 13- Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑EJ-t Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑L! D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑E172. Site preparation within the one-hundred-year floodplain as depicted
- -on-FJRM--NFa-p of--any- watercourse:
❑❑-F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
S
APPLICANT- (Property Owner,Design Professional,Agent.Contractor,Other) .C.T.M. ": DL tri Date-
APPLICANT-
atrl I
NAME. M\ \C-t VA C--r-\
(P,,,,I Section Block Lot
Fh —
_,SM .7�i F"')R.BUILDING DEP-.R'FN1L"i\`-T LSE t-,,N1-;,
Contact Information
fcicyliun \unper
Reviewed By:
— - - — - - - — - — — — - - - - - - Date- � l
Property Address / Location of Construction Work. — — — — — — — — — — — — — — — — —
Approved for processing Building Permit
61, �Ze1 � Stormwater Management Control Plan Not Required
Stormwater Management Control Plan a Required
(F ons and to Engineering Department for Review)
I-oRl\-1 5MC'P -ms 2011
v ,
SOUryo -
Town Hall Amex Telephone(631)765-1802
54375 Main Road Far �gg QQ
P.O.Box 1179 G rocier.richert(�tOW11 SOUthO A.ny us
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY.
Date:
Company Name: -
License No.:
Address: f. eJ�S
Phone No.: �e(I �«o •aJ(�o &PF I •� C°�lo��
JOBSITE INFORMATION: (*Indicates required information)
*Address: n cu cl, n- ,
_*Cross Street: w�
*Phone No.:
Permit-No.: e>P Ar
Tax Map District: 1000 Section:__.j.kjs— Block: _ Lot: o
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) l n O ry
(Please Circle All That Apply)
*Is-job ready for inspection: YE / NO Rough In Final
*Do you need a Temp Certificate: YES O
Temp-Information (If needed} -
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATIONoaA
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Design Services
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SIDE SECTION �
SCALE: 1/4" = 1'-0" www.mchdesignservices.com
phone:
(631)298-2250
email:
michael@mchdesignservices.co
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04 STEEL REBAR ° II [III IIIII I SOIL TO BE LEFT ON PROPERTY. SOIL TO BE STOCKPILED OR RUFF GRADED CAS
(VERTICAL)&" or- a D III ( IIIII PER ON THE DAY OF EXCAVATION ONLY UNLESS SOIL 15 TO BE CARTED
SWIMING POOL STRUCTURE TO INCLUDE A MATT OF 04 STEEL REBAR TIED, <-oF EW yo DRAWN BY: MH
04 STEEL REBAR D — h" ON CENTER FOR WALLS AND 12"OC , 6w�on FLOOR " ON CENTER FOR ALL TRANSITION � R�r0��i
(HORIZONTAL)b oc P [III III [III-- BREAKS AND BOND BEAM, �; * 7/25/2016
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12" TO 36" RADIUS °= [III IIID STEEL GAGE AT A THICKNESS OF NO LESS THAN 12" ON THS TOP EDGE OF THE Z ,, t, ; cZ SCALE: SEE PLAN
(VARIES) Q o I [III I [III III II II INTERIOR FINIISPOOL (BOND BH OF POOL O BE PEBBLE TECHEAM) AND NO LESS THAN 8" ON " DURABLE FNHE WALLS DISH. COLORS AS FLOOR. � 072 oP
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SCALE: SEE PLAN
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